In 1904 Bransford LewisJ reported the use of his operative cystoscope (Fig. 58), adapted not only to use within the bladder but also in the ureters. The direct-vision air cystoscopes of Luys, § and of CathelinU were submitted in 1904 and 1905, and attracted considerable attention in France. * We cannot agree with Fenwick who decries the necessity for a direct-view instrument, saying that by proper manipulation it is possible to obtain a satisfactory view of the posterior wall through the right-angle view cystoscope.

Coxsackie eruptions concentrated in areas of atopic dermatitis, a phenomenon termed "eczema coxsackium," has been well described in the literature but, to our knowledge, the concentration of coxsackie viral lesions to areas of ichthyosis has not been reported. This case describes a rare presentation of coxsackie viral lesions concentrated in areas of epidermolytic ichthyosis in a 3-year-old boy.

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cleanliness, both mental and physical, and should picture the possibilities of venereal disease. This last should not be overdone. The fear of the contraction of disease deters only the cowardly and these it often drives to the unnatural outlet of masturbation. Certainly venery is preferable to the mental degradation of the other vice.Boys of 15 or 16 may be taught the symptoms, nature and results of gonorrhea, chancroid and syphilis, and the importance of proper treatment and how pernicious amateur tinkering is. This should not be done to frighten them, but simply as information. It is best done by the parents or by the family physician, or in the case of public schoolboys, whose home influence is sometimes not of the highest order, by some physician appointed to lecture to them on the subject. This latter method is

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